NPIMap

Organization Active NPI

Creek Nation Hospital & Clinics

Doing business as Muscogee (Creek) Nation Community Clinic NI

  • Clinic/Center
  • Okmulgee, OK
National Provider Identifier
1417355272
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CREEK NATION HOSPITAL & CLINICS
Doing business as
Muscogee (Creek) Nation Community Clinic NI
Practice address
1201 S Belmont Ave
Ste 207
Okmulgee, OK 74447-6351
Phone
(918) 758-0555
Fax
(918) 756-5498
NPI assigned
Dec 10, 2014
Last updated
Oct 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shawn Terry
Title
Secretary of Health
Phone
(918) 756-4333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

1201 S Belmont Ave
Ste 207
Okmulgee, OK 74447-6351

Mailing address

Dept 1467
Tulsa, OK 74182-0001
Phone (918) 756-4333

Other names 1

  • Muscogee (Creek) Nation Community Clinic NI Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070821000130 OK Part B Supplier - Clinic/Group Practice 5698786226 Receives reassigned benefits from 770 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Jenks, OK; Okmulgee, OK; Tulsa, OK

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635292800000",
    "number": "1417355272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 1467",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741820001",
            "telephone_number": "918-756-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S BELMONT AVE",
            "address_2": "STE 207",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744476351",
            "telephone_number": "918-758-0555",
            "fax_number": "918-756-5498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEK NATION HOSPITAL & CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-10",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "SECRETARY OF HEALTH",
        "authorized_official_telephone_number": "918-756-4333"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Muscogee (Creek) Nation Community Clinic NI",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Muscogee (Creek) Nation Community Clinic NI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Okmulgee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.